3/6/24, 10:22 PM Nursing Process NCLEX questions | Quizlet
Name: Score:
15 Multiple choice questions
Term 1 of 15
The nurse would do which of the following during the implementation phase of the nursing
process when working with a hospitalized adult?
Formulate a nursing diagnosis of impaired gas exchange
Record in the medical record the distance a client ambulate in the hall
Write individualized nursing orders in the care plan
Compare client responses to the desired outcomes for pain relief
https://quizlet.com/87526852/test?answerTermSides=4&promptTermSides=6&questionCount=16&questionTypes=4&showImages=true 1/7
, 3/6/24, 10:22 PM Nursing Process NCLEX questions | Quizlet
Term 2 of 15
The nurse would do which of the following activities during the diagnosing phase of the
nursing process? Select all that apply.
A. Collect and organize client information
B. Analyze data
C. Identify problems, risk, and client strengths
D. Develop nursing diagnoses
E. Develop client goals
D. Client will progress to walking a 20-minute mile in one month
Rationale: Outcome statements must be written in behavioral terms and identify specific,
measurable client behaviors. They are stated in terms of the client with an action verb
that, under identified conditions, will achieve the desired behavior. They should also be
realistic and achievable.
B. Analyze data
C. Identify problems, risk, and client strengths
D. Develop nursing diagnoses
Rationale: The diagnosing phase of the nursing process involves data analysis, which
leads to identification of problems, risks, and strengths and the development of nursing
diagnoses. Collecting and organizing client data is done in the assessment phase of the
nursing process. Goal setting occurs during the planning phase.
A. Client is hypotensive
Rationale: An inference is the nurse's judgment or interpretation of cues such as judging
a blood pressure to be lower than normal. A cue is any piece of data information that
influences a decision. Options 2, 3, and 4 are cues that could lead to inferences.
B. Record in the medical record the distance a client ambulate in the hall
Rationale: The implementation phase of the nursing process involves carrying out or
delegating the nursing interventions and recording nursing activities and client
responses in the medical records. Option 1 represents diagnosing. Option 3 represents
planning. Option 4 represents evaluation.
https://quizlet.com/87526852/test?answerTermSides=4&promptTermSides=6&questionCount=16&questionTypes=4&showImages=true 2/7
Name: Score:
15 Multiple choice questions
Term 1 of 15
The nurse would do which of the following during the implementation phase of the nursing
process when working with a hospitalized adult?
Formulate a nursing diagnosis of impaired gas exchange
Record in the medical record the distance a client ambulate in the hall
Write individualized nursing orders in the care plan
Compare client responses to the desired outcomes for pain relief
https://quizlet.com/87526852/test?answerTermSides=4&promptTermSides=6&questionCount=16&questionTypes=4&showImages=true 1/7
, 3/6/24, 10:22 PM Nursing Process NCLEX questions | Quizlet
Term 2 of 15
The nurse would do which of the following activities during the diagnosing phase of the
nursing process? Select all that apply.
A. Collect and organize client information
B. Analyze data
C. Identify problems, risk, and client strengths
D. Develop nursing diagnoses
E. Develop client goals
D. Client will progress to walking a 20-minute mile in one month
Rationale: Outcome statements must be written in behavioral terms and identify specific,
measurable client behaviors. They are stated in terms of the client with an action verb
that, under identified conditions, will achieve the desired behavior. They should also be
realistic and achievable.
B. Analyze data
C. Identify problems, risk, and client strengths
D. Develop nursing diagnoses
Rationale: The diagnosing phase of the nursing process involves data analysis, which
leads to identification of problems, risks, and strengths and the development of nursing
diagnoses. Collecting and organizing client data is done in the assessment phase of the
nursing process. Goal setting occurs during the planning phase.
A. Client is hypotensive
Rationale: An inference is the nurse's judgment or interpretation of cues such as judging
a blood pressure to be lower than normal. A cue is any piece of data information that
influences a decision. Options 2, 3, and 4 are cues that could lead to inferences.
B. Record in the medical record the distance a client ambulate in the hall
Rationale: The implementation phase of the nursing process involves carrying out or
delegating the nursing interventions and recording nursing activities and client
responses in the medical records. Option 1 represents diagnosing. Option 3 represents
planning. Option 4 represents evaluation.
https://quizlet.com/87526852/test?answerTermSides=4&promptTermSides=6&questionCount=16&questionTypes=4&showImages=true 2/7
